Individual provider · Type 1 NPI

Lauren Ashley Provansal, PSS, CADC-R

Addiction (Substance Use Disorder) Counselor · Portland, OR

NPI number 1427963909 Active

Practice location

10564 SE Washington St
Portland, OR 97216-2809

Call (503) 228-9229 Map

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1427963909

Lauren Ashley Provansal, PSS, CADC-R's National Provider Identifier is 1427963909, issued on Aug 18, 2026. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Portland, OR. The record was last updated on Aug 18, 2026.